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General NPI Number Information
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NPI Number | 1932040698
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Entity Type | Individual
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Provider Name | IRINI PETROS MD
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Gender | Female
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Dates
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Enumeration Date | 04/04/2026
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Last Update Date | 04/04/2026
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Provider Practice Location Address
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Address Line | 2500 ALHAMBRA AVE
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City | MARTINEZ
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State | CA
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Zip | 94553-3156
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Country | US
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Telephone | 925-370-5117
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Fax |
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Provider Business Mailing Address
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Address Line | 111 4TH ST
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City | WALNUT
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State | IL
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Zip | 61376-2004
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Country | US
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Telephone | 815-379-9217
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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